Clinic Outline & Training Log

Date*

Time*

Trainer's Name*

First Last

Trainer's Email*

Discipline / Topic*

Other:*

Event Title:*

Learning Outcome:*

What outcome did the group agree to work towards?

Activities and/or Drills used:*

Briefly describe the activities you facilitated:

Participant's Takeaways:*

Participant Names: First Name and Last Name (1 name per line)*

Red Flag*

Communicate any issues or concerns you have with actions, behaviors, conflicts, or the environment in training.

Red Flag - Notes

Provide details of the issue in this space:

Notes

Use this space to communicate any

Photo of Roster (optional)

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